House Study Bill 567 - Introduced HOUSE FILE _____ BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON FRY) A BILL FOR An Act relating to the practice of polysomnography. 1 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 2 TLSB 5212YC (4) 87 ss/rh

H.F. _____ Section 1. Section 148G.1, Code 2018, is amended by adding 1 the following new subsection: 2 NEW SUBSECTION . 10A. “Sleep diagnostic testing facility” 3 means a building or place situated in a fixed location 4 or a mobile entity that is used to provide sleep-related 5 services and includes sleep-related disorder centers and 6 laboratories for sleep-related respiratory disorders, but 7 does not include a hospital licensed under chapter 135B that 8 provides sleep-related services for its patients, including 9 sleep-related services provided under arrangements made by 10 the hospital for its patients whereby the hospital exercises 11 professional responsibility over the arranged services. 12 Sec. 2. Section 148G.3, Code 2018, is amended to read as 13 follows: 14 148G.3 Location of services. 15 The practice of polysomnography shall take place only in a 16 facility that is accredited by a nationally recognized sleep 17 medicine laboratory or center accrediting agency, in a facility 18 operated by a hospital or a hospital licensed under chapter 19 135B , or in a patient’s home , with testing equipment provided 20 by a sleep diagnostic testing facility, hospital licensed 21 under chapter 135B, or mobile testing company with a physical 22 location in the state of Iowa, pursuant to rules adopted by 23 the board; provided, however, that the scoring of data and the 24 education of patients may take place in another setting. 25 Sec. 3. NEW SECTION . 148G.3A Supervision of sleep-related 26 services in a patient’s home. 27 Sleep-related services provided in a patient’s home shall 28 be conducted under the general supervision of a physician or 29 qualified health care professional prescriber and the results 30 thereof shall be interpreted by a physician or qualified health 31 care professional prescriber. Patients shall be educated on 32 the proper use of testing equipment by a respiratory care and 33 polysomnography practitioner, registered polysomnographic 34 technologist, or physician employed by or affiliated with the 35 -1- LSB 5212YC (4) 87 ss/rh 1/ 3

H.F. _____ sleep diagnostic testing facility providing the sleep-related 1 services. 2 Sec. 4. NEW SECTION . 148G.3B Operation of sleep diagnostic 3 testing facilities. 4 A sleep diagnostic testing facility shall comply with all of 5 the following standards: 6 1. A sleep diagnostic testing facility shall be supervised 7 by a physician. 8 2. Beginning July 1, 2018, a new sleep diagnostic testing 9 facility shall be fully or provisionally certified or 10 accredited by the American academy of sleep medicine, except 11 that full or provisional certification or accreditation 12 shall not be required until December 31, 2018, for any sleep 13 diagnostic testing facility that has submitted a completed 14 application for certification or accreditation to the American 15 academy of sleep medicine on or before June 30, 2018. This 16 section does not require a sleep diagnostic testing facility 17 operating before July 1, 2018, to receive certification or 18 accreditation from the American academy of sleep medicine. 19 3. Data from the provision of sleep-related services 20 shall be interpreted by a physician or qualified health care 21 professional prescriber. 22 4. All sleep-related services shall be conducted by or under 23 the general supervision of a physician or qualified health care 24 professional prescriber. 25 EXPLANATION 26 The inclusion of this explanation does not constitute agreement with 27 the explanation’s substance by the members of the general assembly. 28 This bill concerns the practice of polysomnography in Iowa. 29 The bill adds a requirement that any in-home sleep 30 diagnostic testing be performed with equipment provided by a 31 sleep diagnostic testing facility, hospital, or mobile testing 32 company with a physical location in Iowa and that the patient 33 receive education on the proper use of such equipment by a 34 respiratory care and polysomnography practitioner, registered 35 -2- LSB 5212YC (4) 87 ss/rh 2/ 3

H.F. _____ polysomnographic technologist, or physician employed by or 1 affiliated with the sleep diagnostic testing facility. The 2 bill also requires that any sleep-related services provided in 3 a patient’s home be performed under the general supervision 4 of and be analyzed by a physician or qualified health care 5 professional prescriber. 6 The bill requires any new sleep diagnostic testing facility, 7 as defined in the bill, operating on or after July 1, 2018, 8 to be fully or provisionally certified or accredited by 9 the American academy of sleep medicine, except that such 10 accreditation or certification shall not be required until 11 December 31, 2018, for a sleep diagnostic testing facility 12 that submitted a completed application for certification or 13 accreditation to the American academy of sleep medicine on or 14 before July 1, 2018. 15 -3- LSB 5212YC (4) 87 ss/rh 3/ 3